Provider Demographics
NPI:1851838148
Name:WETSEL, PATTY (LMFT)
Entity Type:Individual
Prefix:MS
First Name:PATTY
Middle Name:
Last Name:WETSEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8021 SIERRA ST
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-7530
Mailing Address - Country:US
Mailing Address - Phone:916-216-8867
Mailing Address - Fax:
Practice Address - Street 1:8021 SIERRA ST
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-7530
Practice Address - Country:US
Practice Address - Phone:916-216-8867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT#37256106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist